Sudden hypertension in a kidney transplant recipient after a skiing accident. (2016)

• Record Type: Journal Article
• Authors: Meier, Markus; Hunold, Peter; Nitschke, Martin
• Is Part Of: International journal of surgery case reports. Volume 25(2016)
• Page Start: 10
• Page End: 12
• Publication Date: 2016
• Subjects: AVF arteriovenous fistula -- BMI body mass index -- TEA transcatheter arterial embolization with platinum coils; Arteriovenous fistula -- Kidney transplantation -- Kidney biopsy -- Duplex ultrasound -- Arterial embolization; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.05.052
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction: Complications after renal transplants are frequent. A well-known but less frequent complication is arteriovenous fistula formation, which can remain asymptomatic or present with hematuria, hypertension, or renal insufficiency. Presentation of case: We present the case of a young, male kidney transplant recipient with newly developed hypertension due to the formation of an arteriovenous fistula a long period after the last renal biopsy. Discussion: In our case, the sonographic evaluation showed the aliasing phenomenon, which was useful in the detection of the AVF. Superselective transcatheter embolization is considered to be the treatment of choice in such cases and has been proven to be safe and effective, even in long-term evaluations. Conclusion: Our findings in this case highlight a rarely reported clinical presentation which physicians should be aware of when evaluating patients who have received a renal transplant.